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GRADUATE
ASSISTANTSHIP
APPLICATION
School of Graduate Studies and Research
3500 John A. Merritt Blvd.
Nashville, TN
37209-1561
(615) 963-5901
www.tnstate.edu
Name:
ID#
Last
First
Permanent Address:
MI
Street
City/State/Zip
Street
City/State/Zip
Telephone # (permanent)
Telephone # (local)
E-mail Address
Date of Birth
Name of Degree Program
Degree Sought
Department of Assistantship
Year Applying?
Type of Assistantship (check one)
Teaching
Research
Administrative
Formal Education History
College
Location
Major
GPA Attendance (dates) Degree Received
Experience
Duties
Position
Supervisor
Dates
Skills
List all relevant expertise such as computer, interpersonal, and research skills.
Are you applying for or have you been awarded a stipend, fellowship, or assistantship
through another TSU Program? (Check one)
Yes
No
If yes, what program?
Applicant's signature
Date
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